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Outcomes of Febrile Children Presumed to be Immunocompetent Who Present with Leukopenia or Neutropenia to an Ambulatory Setting

Department of Pediatrics, Division of General Pediatrics, Johns Hopkins Children’s Center, Baltimore, MD

M. M. Dias, MD

CHOP Connection at Shore Memorial Hospital, Somers Point, NJ

H. Chang

Tender Care Pediatrics, Northfield NJ

M. Sharkey, MD

University of Arkansas Area Health Education Center, Northwest Arkansas Pediatric Clinic, Fayettesville, AR

A. R. Walker, MD

Department of Pediatrics, Division of Emergency Medicine, Johns Hopkins Children’s Center, Baltimore, MD

To determine significant medical outcomes in febrile children presenting to an ambulatory setting with neutropenia and/or leukopenia. Methods: Retrospective medical record review conducted on febrile patients who had a blood culture drawn, with white blood cell counts less than 5,000/mm³ and/or an absolute neutrophil count less than 1000/mm³. Ninety-one patients were identified; 5 with positive blood culture results, 13 with significant non-oncologic disease, and 3 patients with leukemia who had involvement of 2 or more cell lines. Conclusions: In the majority of patients, clinical judgment, physical findings, and review of all cell lines of the complete blood cell count identified those with significant disease.

Clinical Pediatrics, Vol. 44, No. 7, 593-600 (2005)
DOI: 10.1177/000992280504400707


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